Billing Specialist

Billing Specialist

About Maven Wise

Maven Wise is dedicated to strengthen your organizations' talent pool by seeking out highly motivated and experienced professionals.

Description

Maven Wise, LLC is seeking a dynamic billing specialist to interface with recipients and insurance carriers to handle a variety of post-sales Accounts Receivable functions in the area of insurance reimbursement, completing claim forms, verification of benefits, eligibility, plan / benefit analysis, and posting of insurance payments. This is opportunity is an immediate start, and is REMOTE.

Here's what you'll do :

• Establish working relationship with insurance and billing staffs.
• Answer telephone inquiries and obtains necessary information to set up patient charts and maintain files.
• Excellent knowledge of insurance plans and be able to understand reimbursement levels based on plan design.
• General knowledge of Medical Terminology and ICD-9 codes
• Must have excellent understanding of insurance procedures and claims processes
• Provide status of claims including explain processes relating to how a claim is paid i.e. provider write-off, deductibles, co-pays, in and out of network providers and pay percentages, patient responsibility... etc.
• Able to understand and manage Insurance A / R including posting of payments, reconsolidating of accounts and write offs.
• Create invoices and bills and forwards the billing information to the insurance carrier.
• Maintains the billing information to assure an average lag time of 90 days.
• Effectively perform collections or all assigned, unpaid claims.cases and assist in appeals process.Identify areas where additional training is required.
• Able to manage our Medicaid accounts to ensure prompt payment of claims and write-offs.
• Work with Software / Hardware.
• Perform other related duties as assigned, including special projects.

Requirements :